Week 7 - Problem Clots Flashcards

1
Q

What are the 3 factors in Virchows triad?

A
  • blood stasis
  • hypercoagulability
  • endothelial injury (in lumen)
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2
Q

What is Virchow’s Triad?

A
  • risk factors for clot formation are associated with this Triad
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3
Q

Why is blood stasis associated with problem clots?

A
  • blood pooling is more likely to form clots
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4
Q

Why is increased hypercoagulability in Virchow’s Triad?

A

tendency of blood to clot
- ie. hormonal imbalances

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5
Q

What is a thrombus? (2)

A
  • a problem clot (caused by factors in Virchow’s Triad)
  • will trigger inflammation
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6
Q

What is an embolus?

A
  • A piece of the clot that breaks off and travels around the body
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7
Q

What occurs in DVT?

A
  • Thrombus forms in the deep veins
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8
Q

What are the symptoms of DVT? (5)

A
  • may be asymptomatic
  • calf or groin pain on affected side
  • sudden onset unilateral edema
  • increased warmth
  • redness (rubour) to affected limb
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9
Q

How is DVT diagnosed through? (2)

A
  • Physical Assessment
  • confirm with venous duplex ultrasonography
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10
Q

What is a superficial vein thrombosis?

A
  • usually superficial leg veins close to the skin surface
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11
Q

What are the symptoms of superficial vein thrombosis? (7)

A
  • tenderness
  • pain
  • rubour
  • warmth
  • inflammation
  • induration
    All along the vein
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12
Q

What do veins appear as in superficial vein thrombosis?

A
  • appear as a palpable cord
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13
Q

Does edema occur in superficial vein thrombosis? (2)

A
  • rarely occurs
  • if SVT left untreated, can turn into a blood clot
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14
Q

How does DVT affect the vein? (5)

A
  • deep vein of the legs are most commonly affected
  • pain or pressure over involved vein
  • edema
  • deep rubour
  • increased temp on affected side
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15
Q

What are you at risk for if you have DVT? Why? (2)

A
  • risk for pulmonary embolism
  • clot breaks off and blocks blood flow in the lungs
    EMERGENCY
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16
Q

What is a pulmonary embolism? (2)

A
  • blockage of pulmonary artery by air, fat, tumour tissue or a thrombus
  • lodges in blood vessel and obstructs perfusion of alveoli
17
Q

What is the mortality rate of a pulmonary embolism? (2)

A
  • 30% in untreated patients
  • diagnosis plus anticoagulant therapy mortality rate is 6-8%
18
Q

In lecture, what are some symptoms of a pulmonary embolism

A
  • difficulty breathing
  • SOB
  • sharp pain
19
Q

What is a saddle embolism?

A
  • rare type of acute pulmonary embolism
  • medical emergency!!